Dental Professional of South Carolina, P.c.
NPI #1578034369 in Fort Mill, South Carolina
Provider Information
- NPI Number
- 1578034369
- Entity Type
- Organization
- Organization Name
- Dental Professional of South Carolina, P.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 6, 2018
- Last Updated
- Mar 29, 2019
Practice Location
- Address
- 2373 LEN PATTERSON RD STE 103
- City
- Fort Mill
- State
- South Carolina
- ZIP Code
- 29708-8266
- Phone
- (803) 310-6109
Authorized Official
- Name
- JESSICA BRITT
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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